NPI | 1811078744 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID EUGENE BARTO Dentist 423-877-2443 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 8160) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TN 8160) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |